DOCSLIB.ORG

Case No COMP/M.4367 - APW / APSA / NORDIC CAPITAL / CAPIO

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Case No COMP/M.4367 - APW / APSA / NORDIC CAPITAL / CAPIO EN Case No COMP/M.4367 - APW / APSA / NORDIC CAPITAL / CAPIO Only the English text is available and authentic. REGULATION (EC) No 139/2004 MERGER PROCEDURE Article 6(2) NON-OPPOSITION Date: 16/03/2007 In electronic form on the EUR-Lex website under document number 32007M4367 Office for Official Publications of the European Communities L-2985 Luxembourg COMMISSION OF THE EUROPEAN COMMUNITIES Brussels, 16.03.2007 SG-Greffe (2007) D201249 In the published version of this decision, some PUBLIC VERSION information has been omitted pursuant to Article 17(2) of Council Regulation (EC) No 139/2004 concerning non-disclosure of business secrets and other confidential information. The omissions are shown thus MERGER PROCEDURE […]. Where possible the information omitted has been ARTICLE 6(1)(b) AND 6(2) replaced by ranges of figures or a general description. DECISION To the notifying parties Dear Sirs, Subject: Case No COMP/M.4367 – APW/ Nordic Capital/ APSA/ Capio Notification of 26 January 2007 pursuant to Article 4 of Council Regulation No 139/20041 1. On 26 January 2007, the Commission received a notification of a proposed concentration pursuant to Article 4 of Council Regulation (EC) No 139/2004 (the Merger Regulation) under which Apax Partners Worldwide LLP (“APW”) acquires, together with Nordic Capital Fund VI (“Nordic Capital”) and Apax Partners SA (“APSA”), joint control over Capio AB (“Capio"). I. THE PARTIES 2. APW is a UK limited liability partnership which provides investment management and investment advisory services to private equity funds investing primarily in Europe in a range of industry sectors. APW currently controls amongst others General Healthcare Group Limited (“GHG”), a provider of private healthcare services in the UK2 and Mölnlycke Healthcare ("MHC”)3, a provider of amongst others surgical and wound care products to the professional healthcare sector. APW recently agreed to sell MHC to a consortium consisting of Cator Holding AB, Investor AB and Morgan Stanley Principal Investments, Inc. A sales and purchase agreement has been concluded on 25 January 20074 1 OJ L 24, 29.1.2004 p. 1. 2 See Case M.4229 APHL/ Netcare/ General Healthcare Group. 3 Case M. 3816 Apax/Mölnlycke. 4 The transaction has been notified to the Commission on 20 February 2007 and has been registered as Case M. 4579 Investor/ Morgan Stanly/Mölnlycke. Commission européenne, B-1049 Bruxelles / Europese Commissie, B-1049 Brussel - Belgium. Telephone: (32-2) 299 11 11. 3. Nordic Capital, part of the Nordic Capital Group, is a Jersey-based private equity firm focussing its investments mainly on the Nordic region. Nordic Capital has amongst others shareholdings in pharmaceutical companies such as Nycomed and - through Nycomed5 - Altana Pharma AG (“Altana”), as well as Unomedial, a supplier of sterile single use medical devices and Atos Medical, a manufacturer of ear, nose and throat medical devises. 4. APSA is a French provider of investment management and investment advisory services to private equity funds investing in a range of industry sectors, primarily in France. Amongst others, APSA has joint control over the French hospital chain Vedici. 5. Capio is a Swedish provider of healthcare services for both public and private customers via its acute private hospitals, diagnostic centres and private psychiatric hospitals. It provides its services in a wide range of EEA Member States. II. THE OPERATION 6. The operation consists of a public bid for Capio by the parties, based on a joint bid agreement signed on 31 August 2006 and amended on 4 October 2006. The parties acquired the shares in Capio using an acquisition vehicle, Opica AB, […]. III. CONCENTRATION 7. Pursuant to a shareholders agreement of 31 August 2006, the board of Capio consists of seven directors, […]. Each of APW, Nordic Capital and APSA will however obtain veto rights concerning specific strategic decisions concerning Capio (e.g. the adoption of the business plan, changes in the board6). The transaction therefore leads to the acquisition of joint control by APW, Nordic Capital and APSA, within the meaning of Article 3(1)(b) of Council Regulation (EC) No 139/2004. IV. COMMUNITY DIMENSION 8. The combined aggregate worldwide turnover of the undertakings concerned is more than EUR 5 billion (APW EUR […] billion, Nordic Capital EUR […] billion, APSA EUR […] billion, Capio EUR […] billion). The aggregate Community-wide turnover of each of the undertakings concerned is more than EUR 250 million (APW EUR […] billion, Nordic Capital EUR […] billion, APSA […] EUR billion). Only APSA achieved more than two-thirds of its Community-wide turnover7 in one and the same Member State. The operation has therefore a Community dimension. V. RELEVANT MARKETS 5 Case M. 4418 Nycomed Group / Altana Pharma. 6 […]. 7 References to market shares and turnovers all refer to the year 2005 unless specifically stated otherwise. 2 A. Relevant product markets 9. The notified transaction results in horizontally affected markets in the UK. It concerns the overlaps between Capio and APW’s portfolio company GHG on the markets for private acute general hospitals and on the market for PPHO (public/private healthcare outsourcing services). 10. The vertically affected markets are linked to the activities of APW portfolio company MHC and Nordic Capital portfolio companies, Nycomed, Altana, Unomedial and Atos Medical, which are active upstream as suppliers of a wide variety of medical supplies (medical products and pharmaceutical products) to hospitals and providers of medical services downstream, such as Capio. The geographic markets concerned are the EEA8, Norway, Sweden, France, Spain, Germany and the UK. A.1 Horizontal overlap: downstream markets A.1.1. Market for private acute general hospitals 11. The parties submit that there is a market for private acute general hospitals, or, alternatively, a combined market for private/public acute general hospitals. According to the parties, it varies per Member State whether separate product markets can be identified. This view is largely confirmed by the market investigation and reflects the differences in the organisation of the national health care systems and the regulatory environments in the individual Member States. There is however a number of differences between private and public health care services. Whereas private healthcare is paid for by the patient, usually through insurance with a private medical insurer operating on a national basis, public healthcare is generally partly or entirely funded through taxation and requires either a limited contribution of the patient or is offered for free, at the point of service delivery. Private acute hospitals also differentiate themselves from public acute hospitals in terms of the overall patient experience, waiting lists, clinical outcomes and physical comfort. 12. Considering the fact that the situation concerning acute general hospitals may vary per Member State the definition of the relevant product market can be left open in the present case, since in all alternative definitions considered, effective competition is not significantly impeded in the EEA or any substantial part of that area, except for the UK. 13. As for the UK, the transaction does raise serious competition concerns, namely in relation to the market for private acute general hospitals. On this UK market, private acute general hospitals play an important role and respond to a specific demand for such services which is different from the demand for public acute general hospitals. This was confirmed by the market investigation. Therefore, there are good reasons to define a separate market for private acute general hospitals for the UK. A.1.2 Market for PPHO activities 8 Depending on the product and the definition of the related geographic market 3 14. In a number of Member States, Capio is active as a provider of healthcare services under contract with the national public healthcare provider (PPHO services), i.e. the UK, Sweden, Norway, Denmark and Spain. 15. The purchase of PPHO services by the public healthcare authority from the private healthcare provider is often based on a tender procedure or public procurement procedure and can therefore, according to the parties, be distinguished from the provision of private healthcare services procured by patients themselves or their healthcare insurers. In a previous Decision, the Commission distinguished a market for the supply of PPHO services in relation to the UK, where such services are provided in the context of the NHS procurement programmes (Independent Sector Treatment Centres (“ISTCs”)) in which both Capio and GHG are active. However, it left the market definition open9. The market investigation largely confirmed the identification of a separate product market for PPHO services. In any event in the present case, the market definition can be left open, since in all alternative definitions considered, effective competition is not significantly impeded in the EEA or any substantial part of that area. A.2 Vertical overlap: upstream markets 16. The notified transaction leads to a large number of vertically affected markets. These markets concern the relationship between the private acute general hospitals chain Capio, downstream, and the providers of medical supplies upstream (MHC, Nycomed, Altana, Unomedial and Atos Medical). 17. The vertically affected upstream markets can be split in five major groups of product markets: i) surgical products, ii) wound care products, iii) pharmaceutical products, iv) sterile single-use medical devices and v) ear, nose, throat medical devices. A.2.1 Surgical products 18. APW, through MHC is active in a number of markets upstream from Capio's activities. MHC is a supplier of surgical products. In previous decisions the Commission has split the market for surgical products in a number of sub-markets. In the present case, this split results in vertically affected markets for surgical textiles, surgical gloves and antiseptics10. 19. The market for surgical textiles may be split in further sub-markets. In the present case this would result in vertically affected markets for drapes, gowns, caps, masks, swabs, and scrub suits.
Load more

Recommended publications
  • Digital When Possible Physical When Needed
    Capio Annual Report 2017 Capio Annual Report 2 0 1 7 Digital when possible Physical when needed Contents This is Capio 2017 in brief 4 Comment by the President and CEO 6 Value creation model 8 Healthcare trends 10 Strategy and targets 12 Basic strategic elements 14 Strategic priorities 16 The Capio model 20 Capio’s financial model 22 Financial targets and development 23 Capio as an investment 24 The European healthcare market 26 Market overview 26 Sweden 30 Norway and Denmark 31 Value creation model France 32 8 Germany 33 Business overview Capio Nordic 34 Capio France 42 Capio Germany 46 Capio’s role in society 52 Sustainable society 52 Quality 54 Business ethics 56 Employees 57 Environment 61 Strategy and targets Risk management 62 12 Contents of financial reports 64 Administrative report 65 Group Financial reports 74 Notes 81 Parent Company Financial reports 113 Notes 117 Auditor’s report 122 Definitions 126 Sustainability statements 127 50 Capio’s role in society Corporate Governance Report 142 Group Management 149 Board of Directors 150 The share 153 History 154 Contact 155 The digital consultation on the cover image shows a fictitious dialogue. An innovative and reliable partner ... Our mission is to cure, relieve and comfort anyone seeking medical care from Capio. Depending on the patient’s diagnosis and circumstances in life, we typi- cally provide care during a care episode lasting between ten minutes and ten days. The aim of our work is always to achieve the best possible quality of life for every patient. Capio’s activities are based on three fundamental values, quality, compassion and care, which guide our day-to-day work and how we act in rela- tion to patients, relatives, colleagues and society in general.
    [Show full text]
  • Capio Annual Report 2014 Capio Annual Report 2014
    Capio Annual Report Capio Annual Report 2014 2014 Quality, compassion, care Kvalitet, medkänsla, omsorg Qualité, compassion, responsabilité Qualität, mitgefühl, fürsorge Contents This is Capio flap Capio is a leading, pan-European healthcare 2014 in brief 1 provider offering a broad range of high quality Comment by the President and CEO 2 medical, surgical and psychiatric healthcare Strategy and development 4 services in four countries through our hospitals, Healthcare in Europe 6 specialist clinics and primary care units. In The Capio model 12 2014, Capio’s 12,3571 employees provided The basis 14 healthcare services during 4.6 million2 patient The method 15 visits across our facilities in Sweden, Norway, The practice 16 France and Germany, generating net sales of Medical quality 18 Capio’s financial model 22 MSEK 13,200. 1 Number of employees as full-time equivalents on average during the year. Business overview 26 2 Number of inpatient and outpatient visits. Capio Nordic 28 Capio France 35 Capio Germany 38 Employees 40 Code of Conduct 42 European Works Council 43 Contents Financial Reports 44 Administrative report 45 Group Financial reports 54 Accounting principles 61 Notes 69 Parent Company Financial reports 91 Accounting principles 95 Notes 96 Auditor’s report 100 Definitions 101 Group Management 102 Board of Directors 104 History 106 Contact 106 Cover photographs, clockwise: Capio City Clinic Helsingborg Söder, Sweden Capio St Göran’s Hospital, Sweden Capio Geriatrics Dalen, Sweden Volvat Oslo Sentrum, Norway Capio Clinique Sainte Odile, France Capio St Göran’s Hospital, Sweden This is Capio Mission Cure. Relieve. Comfort. We have a mission: to cure, relieve and comfort anyone seeking medical care from Capio.
    [Show full text]
  • Capio AB (Publ) Interim Report Jan – Sep 2018
    Capio AB (publ) Interim report Jan – Sep 2018 July – September 2018 January – September 2018 Net sales MSEK 3,816 (3,455). Organic sales growth Net sales MSEK 12,151 (11,250). Organic sales 2.1% (2.2) and total sales growth 10.4% (9.1) growth 1.6% (2.0) and total sales growth 8.0% (8.8) EBITDA1 MSEK 189 (168) and margin 5.0% (4.9). EBITDA1 MSEK 782 (766) and margin 6.4% (6.8). EBITDA increased by 12.5% EBITDA increased by 2.1% EBITA1 MSEK 66 (53) and margin 1.7% (1.5). EBITA EBITA1 MSEK 415 (427) and margin 3.4% (3.8). increased by 24.5% EBITA decreased by 2.8% Operating result (EBIT) MSEK -39 (18) and margin Operating result (EBIT) MSEK 260 (335) and margin -1.0% (0.5). EBIT decreased by 316.7% 2.1% (3.0). EBIT decreased by 22.4% Profit for the period2 MSEK -54 (-7). Earnings per Profit for the period2 MSEK 145 (215). Earnings per share after dilution2 SEK -0.36 (-0.03) share after dilution2 SEK 1.05 (1.53) All numbers in MSEK, if not else stated. CEO COMMENT: “Nordic develops well while France improves in a weak market and Germany is under restructuring.” Organic sales growth of 2.1% and EBITA growth The French segment improved in Q3 2018 in a market of 24.5% in the seasonally weak third quarter, characterized by low volume growth. Organic sales growth in especially impacting the French and German the quarter was supported by two more working days segments compared with the same period in 2017.
    [Show full text]
  • Unilabs 2008 16 Sept
    Capio Case Study: Using Lean and Six Sigma to Advance Integrated Care in the Hospital ”A Journey towards the LEAN Laboratory supporting LEAN Healthcare” Tom M. Pettersson, Ph.D., Head of Development, Capio Diagnostics/Unilabs, St. Görans Hospital, Stockholm, Sweden [email protected] Unilabs 2008 16 Sept We are a leading supplier of laboratory-and radiology services in Europe. We supply diagnostic services – laboratory medicine and radiology services – to public and private health care units, insurance companies, occupational health units as well as to drug development companies. 1 Basic facts about Unilabs Operations in 11 European countries Denmark, Finland, France, Italy, Norway, Portugal, Russia, Spain, Sweden, Switzerland and the UK. Previous Capio Diagnostics No of employees: 3,100 No of radiology examinations: 700,000 Radiology units: 20 CD Stockholm CD Sörmland CD Skaraborg No of mammography screenings: 95,000 Mammography units: 11 No of laboratory medicine analyses: 28 million No of laboratories: 80 Turnover: € 360 M Capio — a pan European company • Leading European healthcare services provider to the public and private sector: – hospitals – primary care – specialist clinics – management contracts • Diverse customer base: – local, regional and national – health authorities Capio Diagnostics Capio Healthcare – insurance companies At StGörans Hospital – private customers • Only industry player with a real multi-country presence in Europe • 16,500 employees • 2006 turnover CHF 2,210 million (SEK 13,000 million) TP20071016 - 02 2 The HealthCare Value Stream Increasing Pressure Demand ”More For Less” Patient ”Third HC Laboratory IVD / MD / IT “The HC Party Providers Services Industry Consumer” Payer” Our Piece Process LEAN Healthcare LEAN Six Sigma LEAN In Product Six Sigma Six Sigma Design in HealthCare ISO? / QMS Towards the LEAN Laboratory 1999 ……….
    [Show full text]
  • Ramsay Générale De Santé's Offer for Capio Closes With
    ASX ANNOUNCEMENT 9 November 2018 RAMSAY GÉNÉRALE DE SANTÉ’S OFFER FOR CAPIO CLOSES WITH 98.51% ACCEPTANCE Ramsay Health Care Limited (Ramsay) advises that the extended acceptance period for Ramsay Générale de Santé’s (RGdS) public offer (Offer) for all the shares in Capio AB (publ) (Capio) closed on 7 November 2018. At the close of the extended acceptance period, shareholders holding approximately 98.51 per cent of the shares in Capio had accepted the Offer. Settlement in respect of shares tendered during the extended acceptance period (approximately 2.49 per cent of the shares in Capio) is expected to commence on or around 15 November 2018. Ramsay also advises that RGdS has decided not to further extend the acceptance period and intends to initiate a compulsory buy-out procedure with respect to the remaining shares in accordance with the Swedish Companies Act (Sw. aktiebolagslagen (2005:551)). In connection with such compulsory buy-out procedure, RGdS intends to seek a delisting of Capio’s shares from Nasdaq Stockholm. Contacts: Craig McNally Carmel Monaghan Managing Director Chief of Staff Ramsay Health Care Ramsay Health Care + 61 2 9220 1000 + 61 438 646 273 About Ramsay Health Care Ramsay was established by Paul Ramsay AO, in Sydney, Australia, in 1964 and has grown to become a global hospital group offering a broad range of healthcare services across its network of hospitals, day surgery centres, rehabilitation units, mental health clinics and retail pharmacies. Ramsay currently owns and operates facilities across six countries including Australia, France, the United Kingdom, Italy, Indonesia and Malaysia, with 25,500 hospital beds and employing 64,000 staff.
    [Show full text]
  • Ramsay Générale De Santé's Public Offer for Capio Accepted by 96% Of
    ASX ANNOUNCEMENT 28 October 2018 RAMSAY GÉNÉRALE DE SANTÉ’S PUBLIC OFFER FOR CAPIO ACCEPTED BY 96% OF SHAREHOLDERS. THE OFFER IS NOW UNCONDITIONAL. Ramsay Health Care Limited (Ramsay) is pleased to advise that the public offer by its French subsidiary, Ramsay Générale de Santé (RGdS) of SEK 58 cash per share (Offer) for all the shares in Capio AB (publ) (Capio), has been accepted by shareholders holding approximately 96 per cent of the shares in Capio. The total value of the Offer (for 100% of the issued shares) is SEK8,187 million (€788 million (equiv)1 or AUD1,269 million (equiv) 2). As such, all conditions for the completion of the Offer have been satisfied and RGdS has announced that it will complete the Offer. Settlement in respect of shares tendered during the initial acceptance period (i.e., up until 25 October 2018) is expected to commence on or around 7 November 2018. Unconditional clearance was also received from the French Competition Authority. RGdS has decided to extend the acceptance period to 7 November 2018 in order to give remaining shareholders an additional possibility to accept the Offer. Settlement in respect of shares tendered during the extended acceptance period is expected to commence on or around 15 November 2018. RGdS intends to initiate a compulsory buy-out procedure with respect to the remaining shares in accordance with the Swedish Companies Act (Sw. aktiebolagslagen (2005:551)). In connection with such compulsory buy-out procedure, RGdS intends to promote a delisting of Capio’s shares from Nasdaq Stockholm. Ramsay CEO and RGdS Chairman Craig McNally said this was a major milestone for the Company giving it a pan European footprint across seven countries with market leading positions in France and the Nordics, which are stable and growing markets with favourable fundamentals.
    [Show full text]
  • The Positive Role of Profit in the Field of Health Care
    November 2014 Health Care Series The Positive Role of Profit in the Field of Health Care by Yanick Labrie Are these beliefs justified? This Economic However, the revenues of privately run medic- Few topics of public Note will shine a light on this question, based al facilities depend on the number of pa- on the experiences of countries in Europe. In tients they treat. In order to attract clients, debate elicit more these countries, the private sector plays a they have to maintain their reputations. They emotion in people than leading role within health care systems that, have to adapt their practices to the expecta- the role of the private like Canada’s, are based on universal cover- tions and preferences of patients and con- age, but where patients can choose which tinually look for new and better ways of re- sector in health care. facilities will treat them, and where public sponding to their needs. In a competitive It is often argued that funding follows the patient. environment where the money follows the profit has no place in patient, hospitals that cut on service quality Does the profit motive encourage drive away their clients and simply cannot this sector, especially “the cutting of corners”? make a profit. when it comes to hospital care. Some As both experience and economic theory This popular belief is also contradicted by teach us, private companies must necessarily numerous foreign experiences. La Ribera people think that the offer goods and services that are valued by University Hospital in the Valencia region of profit motive would consumers if they want to prosper.
    [Show full text]
  • Getting in France
    THE BEST HOSPITALS AN INTERNATIONALLY RENOWNED HEALTHCARE SYSTEM GETTING MEDICAL TREATMENT IN FRANCE SEVEN MAJOR MEDICAL SPECIALITIES AND HOSPITALS READY TO WELCOME YOU › GETTING MEDICAL TREATMENT IN FRANCE / EDITORIAL › GETTING MEDICAL TREATMENT IN FRANCE / SUMMARY EDITORIAL SUMMARY The quality of care and the tradition of welcoming in France are well known. For the first time, French Healthcare is presented in a booklet for patients around the world. Healthcare in France 2 France is a land of medical innovation. Our teams of doctors, Practical information surgeons and researchers, trained at the highest level, are 6 used to world firsts in many therapeutic areas. In order to help international patients benefit from their expertise, Cardiology 8 French hospitals set new standards for people who choose to travel for care. Gynaecology – obstetrics 10 One of the priorities of the association French Healthcare (https://frenchhealthcare.fr), which brings together Neurology institutions and health professionals wishing to promote 12 French know-how abroad, is to propose a framework guaranteeing the satisfaction of patients and the quality of Oncology 14 care throughout their stay. The objectives of this approach include easier access to Orthopaedic services 16 «French» care, obtaining visas for health reasons, optimal reception in institutions for patients and their families, Paediatrics customized services, and specially trained staff. 18 Patients who do not have the health care provision in their Rehabilitation services 20 country of residence will now be able to find in France the best treatments and medical care, in terms of efficiency, cost and quality of reception. Thousand and one treasures of Discover France, a unique experience 22 French cities and territories also await them.
    [Show full text]
  • PRESS RELEASE July 3, 2017 Capio Acquires a Danish Orthopedic
    PRESS RELEASE July 3, 2017 Capio acquires a Danish orthopedic specialist clinic in Aarhus Capio has acquired 100% of the shares in GHP OPA Privathospital Aarhus A/S (“OPA Privathospital”). The clinic is primarily specialized in orthopedic surgery and is well-known for spine surgery, children orthopedics and sports injuries. Net sales in 2016 were MDKK 29. The operations at OPA (Ortopædic Hospital Aarhus) Privathospital are conducted in state of the art premises with modern equipment in the center of Aarhus, Denmark’s second largest city located on Mid Jutland. OPA Privathospital also includes a physiotherapy unit to complement the orthopedic offering. OPA Privathospital will be included in Capio’s Danish operations, Capio CFR, which have been part of Capio since January 1, 2017. Following the acquisition, Capio CFR is now active in four out of five Danish health regions. One of Capio’s current hospitals in Denmark is located in Skørping on North Jutland, and the acquisition is expected to complement the current activities and strengthen Capio’s footprint in Jutland, as well as the orthopedic offering in Denmark. Some synergies are expected from the acquisition, for example by sharing resources between the two Jutland units. Going forward, Capio also expects to grow OPA Privathospital by increasing the number of specialties provided at the clinic. The acquisition, which is not subject to approval by the authorities, was signed and closed on June 30, 2017. The acquisition is not expected to significantly impact the Group’s earnings in 2017. For information, please contact: Olof Bengtsson, CFO Telephone: +46 761 18 74 69 Kristina Ekeblad, IR manager Telephone: +46 708 31 19 40 Capio AB (publ) is a leading, pan-European healthcare provider offering a broad range of high quality medical, surgical and psychiatric healthcare services through its hospitals, specialist clinics and primary care units.
    [Show full text]
  • Next Step in Growth Strategy with Acquisition of Six Clinics in Germany
    Bergman Clinics confirms closing of acquisition of clinics from German care group Capio Next step in growth strategy with acquisition of six clinics in Germany Naarden, 2 November 2020 - Bergman Clinics has completed the acquisition of clinics from the German care group Capio. With the acquisition of the six clinics Bergman Clinics enters the German market, Europe's biggest care market, and strengthens its position in Northwest Europe. By expanding in Northwest Europe, Bergman Clinics aims to become an international platform for highly specialised planned medical care. The six clinics that Bergman Clinics has acquired, which include two regional general hospitals, are primarily specialised in vein and eye care. Together they welcome around 200,000 patients per year: 180,000 represent outpatient treatments for plannable interventions in the areas of vein and eye surgery. Twenty thousand patients receive regional inpatient clinical care. The six locations employ 900 people, 150 of whom are medical doctors, and have a combined capacity of 540 beds. Most of the clinics are located in central Germany; one is in southern Bavaria. Bergman has the firm ambition to grow the clinics where possible, using the knowledge, experience and methods that Bergman Clinics also applies in its other locations, as well as through M&A. As in the Netherlands, the main focus areas are movement, eyecare, veins and appearance. Germany boasts a long history of plannable medical care through specialized clinics. However, the market is fragmented, which offers consolidation opportunities and economies of scale. In Germany, too, Bergman Clinics will be defined by high-quality, patient-focused treatments at prices that contribute to cost control in healthcare.
    [Show full text]
  • UK Acute Care Sector Market Update August 2019
    Market Update August 2019 UK Acute Care Sector The acute care sector has shown some resilience compared to other multi-site clinical subsectors over the past 12 months. Lincoln’s acute care sector index is down 10.0% on an LTM basis, but valuations remain above the average over the last ten years The Lincoln International Healthcare Group has experience in the acute care sector, having acted recently on a UK mandate, and the broader healthcare services and multi-site clinical space We expect investor interest in the acute care sector to recover given strong macro drivers Select multi-site Valuation update on the acute sector - relative sector performance clinics deals LTM relative stock indices price performance 110% 10 5% 0.1% 100% (10.0%) 9 5% 90% (10.7%) 8 5% (12.0%) 80% 75% 70% IVF clinics 6 5% 60% Aug-18 Sep-18 Oct-18 Oct-18 No v-1 8 Dec-18 Jan-19 F eb -1 9 Mar-19 Apr-19 May-19 Jun-19 Jul-19 Aug-19 A cu te car e Dental IVF MSCI Europe Healthcare Current market valuations EV/Revenue EV/ EBITDA 1.6x 9.3x Acute care 0.8x 4.2x 6.5x 20.0x 3.2x 9.5x Dental 0.9x 4.6x 7.3x 17.7x 2.1x 9.7x IVF 1.6x 2.8x 6.1x 11.3x Acute care 1.6x 9.5x All 0.8x 4.6x 6.1x 20.0x Low/high Median Based on calendarised December CY19 data 10 year EV/EBITDA 20.0x 18.0x 16.0x 14.0x 12.0x Veterinary clinics 10.0x Median Median EV/EBITDA * 8 .0 x 6 .0 x 4.0x Dec 2008 Dec 2009 Dec 2010 Dec 2011 Dec 2012 Dec 2013 Dec 2014 Dec 2015 Dec 2016 Dec 2017 Dec 2018 A cu te car e Dental IVF Analysis of EV/EBITDA points (10 year period) All sectors Acute care Dental IVF (exc.
    [Show full text]
  • Bergman Et Al. Structured Care for Men Who Want to Get Tested for Prostate
    DEVELOPMENT OF CARE Structured care for men who want to get tested for prostate cancer FINDINGS FROM CAPIO S:T GÖRAN PROSTATE CANCER CENTER Authors: is that new diagnostics should be introduced within a In Sweden, 10,474 men were diagnosed with prostate can- Martin Bergman the framework of today’s financial resources, and that Specialist Physician cer in 2016. About 5% of men in Sweden can be ex- critical resources such as human resources, technical Marie Hjelm-Erikssona pected to die of prostate cancer as cause of death. [1] Senior Physician It has now been several years since Professor Jonas equipment and other infrastructure are not exceeded. Fredrik Jäderlinga c,e Hugosson and his colleagues in Gothenburg were able Here we describe our initial experience of using Senior Physician, to demonstrate that early diagnosis of prostate cancer in structured nurse-led diagnosis and the Stockholm3 test Medical Doctor the form of screening with the prostate-specific antigen in combination with MRI followed by targeted biopsies a Edvard Meurling (PSA) blood sample reduces the risk of dying of prostate for prostate cancer diagnosis. Senior Physician cancer and suffering from advanced metastatic disease Andreas Torstenssona The Capio S:t Göran Model for Prostate Can- Senior Physician, [2]. This is entirely in line with the findings of the major Medical Doctor European screening study ERSPC [3] but not with the cer Diagnosis Tobias Nordströmbd american PLCO study that was negative [4]. The Swed- Specialist Physician, ish National Board of Health and Welfare, which recent- The Capio S:t Göran hospital is located in central Medical Doctor ly made a comparison of all scientific literature, comes Stockholm and is mandated by the Stockholm Henrik Grönbergab to the conclusion that population-based screening with County Council to handle approximately 25% of Senior Physician PSA reduces mortality in prostate cancer.
    [Show full text]